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Individual

CARLY MCNEIL BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
13578 E 131ST ST STE 260, FISHERS, IN 46037-6401
(970) 708-7608
Mailing address
918 E 48TH ST, INDIANAPOLIS, IN 46205-1946
(970) 708-7608

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004214A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39004214A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/10/2022
Last updated
06/10/2022
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